Answers Graded A+
1. A client who has just been told that she is preg- "Your baby's heart
nant wants to know when the baby's heart will right now has double
be completely developed and beating. The nurse heart chambers and
reads in the client's chart that the health care has begun to beat, so
provider has determined the client to be at 6 we should be able to
weeks' gestation. What is the nurse's best re- see it beat using an ul-
sponse? trasound machine."
2. A pregnant client is seen for a regular prenatal Inform the client that
visit and tells the nurse that she is experiencing these contractions are
irregular contractions. The nurse determines that common and may oc-
she is experiencing Braxton Hicks contractions. cur throughout the
On the basis of this finding, which nursing action pregnancy.
is appropriate?
3. The nursing instructor asks the nursing student "Ovulation ceases dur-
about the physiology related to the cessation of ing pregnancy be-
ovulation that occurs during pregnancy. Which re- cause the circulat-
sponse, if made by the student, indicates an un- ing levels of estrogen
derstanding of this physiological process? Select and progesterone are
all that apply. high."
"The release of the
follicle-stimulating hor-
mone and luteinizing
hormone is inhibited
by adaptations related
to pregnancy."
4. A client in week 35 of her pregnancy is placed on The FHR is reactive,
the fetal heart monitor for a nonstress test (NST) with a baseline of 130
as a result of her complaints of decreased fetal beats/minute, moder-
movement. Twenty minutes after placing the client ate variability, and no
on the monitor, the nurse sees the following mon- decelerations.
itor strip and makes which conclusion regarding
the NST?
5. The nurse is performing an assessment on a client 1116
seen in the health care clinic for a first prenatal
, OB Antepartum NCLEX Exam Questions with 100% Verified
Answers Graded A+
visit. The client reports February 9 as the first day
of the last menstrual period (LMP). Using Nägele's
rule, what date later that same year will the nurse
relay as the client's due date? Fill in the blank.
Record your answer using 4 digits (mmdd).
6. The nurse implements a teaching plan for a preg- "I should avoid exer-
nant client who is newly diagnosed with gestation- cise because of the
al diabetes mellitus. Which statement made by the negative effects on in-
client indicates a need for further teaching? sulin production."
7. The nurse is providing instructions to a pregnant "I should drink ade-
client with a history of cardiac disease regarding quate fluids and in-
appropriate dietary measures. Which statement, if crease my intake of
made by the client, indicates an understanding of high-fiber foods."
the information provided by the nurse?
8. The nurse is providing instructions about treat- "I should apply heat
ment for hemorrhoids to a client in the second packs to the hemor-
trimester of pregnancy. Which statement made by rhoids to help them
the client indicates a need for further teaching? shrink."
9. The nurse is reviewing the medical record of a Assess blood pres-
woman scheduled for her weekly prenatal appoint- sure.
ment. The nurse notes that the woman has been di-
agnosed with mild preeclampsia. Which interven- Check the urine for
tions should the nurse include in planning nursing protein.
care for this client? Select all that apply.
Assess deep tendon
reflexes.
Teach the importance
of keeping track of a
daily weight.
10. A pregnant client at 16 weeks' gestation reports to "This test can be used
the health care clinic for a triple screen test. The as a screening for
nurse determines that the client understands the spina bifida."
purpose of this test when the client makes which
statements? Select all that apply. "This test is a screen-
, OB Antepartum NCLEX Exam Questions with 100% Verified
Answers Graded A+
ing test, and I will need
other testing if I have
abnormal results."
"This test can indicate
if I may be at an in-
creased risk for having
a child with Down syn-
drome."
11. A 25-year-old woman arrives on the maternity unit The woman requires
on February 2. She states that her estimated date further evaluation for
of delivery (EDD) is March 22. She is verbalizing preterm labor.
complaints of dull lower back pain, pelvic heavi-
ness, and diarrhea for the past few days. On ad-
mission for observation, the client's blood pres-
sure is 128/80 mm Hg, pulse is 100 beats/minute,
respirations are 16 breaths/minute, and tempera-
ture is 99°F. The nurse plans care based on which
interpretation?
12. The nurse has assisted in performing a nonstress Normal findings
test on a pregnant client and is reviewing the doc-
umentation related to the results of the test. The
nurse notes that the health care provider has doc-
umented the test results as reactive. How should
the nurse interpret this result?
13. The nurse reviews the plan of care for a woman at Insufficient fluid vol-
37 weeks' gestation who has sickle cell anemia. ume
The nurse determines that which problem listed
on the nursing care plan will receive the highest
priority?
14. A 35-week-gestation pregnant woman is trans- Abruptio placentae
ferred to the maternity unit from the emergency
department, where she was treated for minor in-
juries sustained in a motor vehicle crash. The ma-
ternity nurse's priority will be to assess for which
complication?